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Massachusetts rates for HCPCS 43257

Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux disease

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $3,311.31 / $5,128.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $5,128.61 / $45,708.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $741.31 / $4,570.88
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $436.52 / $7,079.46
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $3,801.89 / $9,772.37
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $5,128.61 / $45,708.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $3,890.45 / $9,772.37